SPIGELIAN HERNIA IN A VIRGIN ABDOMEN - AN ENIGMATIC CASE REPORT ON A COINCIDENTAL FINDING DURING TOTAL LAPAROSCOPIC HYSTERECTOMY

A spigelian hernia is a type of ventral hernia where aponeurotic fascia pushes through a hole to create a bulge . It is the protuberance of omentum , adipose tissue or bowel in that weak space between rectus muscles and ventral abdominal obliques that ultimately pushes intestines or superficial fatty tissue through a hole creting a bulge.Spigelian hernias are rare as they are located not under abdominal layers of fat but between fascia interconnecting two muscles . We hereby present a case report on this rare hernia presenting as a bulge in left inguinal fossa of a 66 yr old woman scheduled for total laparoscopic hysterectomy and was repaired subsequently .